MICHAEL RYAN GRAWCOCK LMT NPI 1720306160

NPI Information

Michael Ryan Grawcock, LMT is a specialist in Portland, OR. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Michael Ryan Grawcock, LMT NPI is 1720306160. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4318 SW DICKINSON ST
PORTLAND, OR
ZIP 97219-456
Phone: (503) 806-6671

The enumeration date for this NPI number is 5/10/2010 and was last updated on 5/10/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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